‘Perineum’ tih tawngkam hi i hre ngai em? I doctor hnen atangin a ni mai thei, a nih loh leh naupai lai khan i hre tawh pawh a ni thei. Hei hi a takah chuan kan taksa hmun pawimawh tak leh sensitive tak a ni a, mahse kan sawi tam lo hle. Chuvangin, vawiin hian a zawng zawng hi awlsam tak leh friendly takin kan sawi dawn a ni. I hriatthiam theih tur zawngin engkim ka sawifiah vek ang.
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A awlsam zawngin, perineum chu eng nge ni?
A awlsam khawp mai. I serh leh i hnute inkar a vun hmun te tak te, sensitive tak chu perineum an ti a.
- Hmeichhiaah chuan: vaginal opening leh anus inkar vun hmun.
- Mipaah chuan: vun awmna hmun, testicles (scrotum) leh anus inkar.
Mahse, vun chauh a ni lo. He vun hnuaiah hian kan pelvic cavity hnuai lama ruh, tissue leh nerve te pawh tiamin, a thuk zawkte pawh hi he perineum an tih hmunah hian an tel ve bawk. A dik tak chuan hei hi kan pelvic floor lungphum ang mai a ni.
Perineum hian eng hna nge a thawh? Engvangin nge a pawimawh em em?
He hmun te tak te hian kan taksaah hna pawimawh tak a thawk a.
- Sexual stimulation: He lai hmuna vun hi nerve endings-in a khat a, hei vang hian he hmun hi sexual stimulation leh satisfaction atan a pawimawh hle.
- Pelvic organs te thlawp: Perineum area hian pelvic floor muscle te tan foundation nghet tak leh support a pe a, chu chuan i bladder, colon, leh reproductive organs ang chi thil te chu a hmunah a vawng tlat thei a ni.
- Zun leh bawlhhlawh paih dan control: Zun leh ek chhuahna kawnga inrawlh taksa ruh leh nerve te hian he hmun hi an paltlang avangin chutiang kalphung chu uluk taka control turin a pui bawk.
- Nau neih: He hmun hi hmeichhia tan a pawimawh hle a, a bik takin vaginal delivery lai hian a pawimawh hle. He hmun hi naute a pian hian a inzawm nasa hle.
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Kan sawi tawh ang khan hei hi mipat hmeichhiatna leh hnute inkarah a awm a. Amaherawhchu, taksa chhungril lam i en chuan a ramri hi a danglam deuh a ni. Anatomically chuan hei hi diamond ang maia lang area a ni.
- Anteriorly: Pubic symphysis atanga tan a ni a, chutah chuan pelvic bones pahnih chu hma lamah an inhmu a.
- Back: I hnungzang ruh hnuai ber, tailbone/coccyx thlengin a inzar pharh a ni.
- A sir lehlamah: I thut laiin leiah press lut pelvic bones (sit bones) pahnih chu a sir lamah a inzar pharh a.
Heng ramri palite hi an inzawm khawm chuan diamond ang maiin an siam a ni. He diamond lai tak atang hian rilru lamah line i siam chuan triangle pahnih ah a inthen ang.
1. 1. A rilru a hah lutuk chuan a rilru a buai em em a.Urogenital triangle: Hei hi hmalam lam a ni. A chhungah hian serh, zunthlum leh a kaihhnawih thau te a awm a.
2. Anal triangle: Hei hi a hnung lam a ni. He part ah hian anal sphincter a awm a, chu chuan hnute hawnna leh bawlhhlawh kalna tur a control a ni.
Heng triangle pahnih inzawmna lai takah hian taksa peng khauh tak, fibrous mass of perineal body , a awm a. Hei hi pelvic floor thlawpna atan a pawimawh hle. Nau neih laiin a chhiat theihna hmun a ni bawk.
A vaiin hmeichhe perineum hi inches 1.5 vel a sei a ni. Mipa ta chu inches 2 emaw a aia tam emaw a ni.
Perineum area nghawng thei dinhmun leh harsatna tlangpui
He hmuna chhiatna thlentu ber chu nau neih vang a ni. Nu nau pai zinga 85% vel chuan an pianphungah perineum-ah hian mittui tlakna chi khat emaw an nei thin. Mahse, he hmun hi chhan dang vangin a chhe thei bawk a, mipa leh hmeichhia thliar lovin.
| A nghawngtu party | Status leh sawifiahna |
|---|---|
| Hmeichhia tan bik conditions | Vaginal delivery: Naute chu vagina atanga a chhuah rualin perineum chu a inzawm thei a, a chhe thei bawk. Mittui tam zawk hi a tenau deuh a, hun kal zelah a dam leh thin. Mittui thuk thenkhat chu stitch a ngai mai thei. Mittui na tak hian pelvic floor muscle emaw anal sphincter emaw a tichhe thei a ni. Episiotomy: Hei hi nau neih hmaa vaginal opening tihzauh nan doctor-in perineum-a a cut te tak te a ni. Tun hma chuan hetiang hi tih fo ni mah se, tunah chuan extreme case-ah chauh tih a ni ta. |
| Mipa tan bik conditions | Prostatitis: Prostate gland infection emaw swelling emaw a awm chuan perineum area ah natna a thlen thei. Inzai:He hmun hi prostate surgery, tumor lakchhuah, etc.-ah te tan a ngai mai thei. |
| Mipa leh hmeichhia tan pawha awm tlangpui | Pelvic floor dysfunction: Perineum a chhiat chuan zun leh ek chhuah harsatna a thlen thei. Cyst emaw abscesses emaw: He hmunah hian hri kai cyst a lo awm thei. An sen thei a, a hring thei a, a na thei bawk. Hemorrhoids: Rectum chhunga veins te a hring hian perineum area ah hian a ti na thei a, a na thei a, thisen a chhuak thei bawk. Pudendal nerve entrapment: He hmun kal tlanga main nerve (pudendal nerve) a chhiat emaw, a compression emaw chuan natna nasa tak a thlen thei a ni. Hliam leh chetsualna: Cycle khalh, motor khalh, leh sakawr khalh ang chi thiltih hian he hmun hi a tichhia thei a ni. Fournier’s Gangrene: Hei hi bacteria infection awm lo mahse na tak a ni. "Flesh-melting disease" tia hriat bawk a ni a, serh leh perineum vun a ti thi a ni. Zunthlum vei te hi an hlauhawmna a sang zawk. Sexual abuse: Perineum area-a mittui tla hi mipat hmeichhiatna hmansualna chhinchhiahna a ni thei. |
Heng harsatnate chhinchhiahnate hi engte nge ni?
Perineum a harsatna awm chhinchhiahna ber chu natna a ni . A bik takin nau neih hnuah mittui tla hi a na em em a, kea kal leh ṭhut theih loh khawpin a na thei a ni.
A pawimawh ber chu he hmuna natna leh lungawi lohna engmah ngaihthah loh hi a ni. Thil tenau deuh pawh ni se, i doctor nen sawiho a pawimawh.
Chu bakah, a hnuaia symptoms te hi a lang thei bawk:
- Zun emaw, ek chhuah emaw harsatna.
- Perineum area-a natna emaw, natna emaw a awm.
- Mipa hian erection neih harsa an ti hle.
- Zun emaw, sex hman lai emawa natna.
- Perineum area-a lump, redness emaw swelling emaw a awm.
Heng symptoms te hi i neih chuan doctor pan ngei ngei tur a ni.
Heng natnate hi hriat chian nan eng test nge tih thin?
I doctor chuan physical exam a ti hmasa ang. Hemi chhung hian perineum-ah hian hliam, mittui leh hnim hring a awm leh awm loh an enfiah ang. A châng chuan, i rectum-ah gloved finger an dah thei bawk a, thil mak tak tak an awm leh awm loh an enfiah thei bawk (digital rectal exam).
Buaina chu a thuk zawka a lan chuan heng ang imaging test hi a tha thei ang:
- CT Scan: Taksa chhunga thil awmte chhiatna hriat theih.
- MRI scan (MRI): Taksa leh thisen kalna kawng a chhiat hriat theih nan.
- Ultrasound scan: Thisen kalna kawng chhia hmuh theih nan.
- Dye bik hmanga X-ray: Urethra chhiatna hriat theih nan.
Perineum area-a harsatna awmte chu eng enkawlna nge ni?
Enkawlna chu harsatna i neih danah a innghat a ni. Nau neih lai a mittui tlak a nih chuan i doctor chuan a lian leh te a zirin stitches a mamawh leh mamawh loh a rel ang. Chutih lai chuan heng thilte hian natna leh hrehawmna tihziaawmna kawngah a pui thei a ni.
- Sitz bath leh warm compress: Sitz bath-ah hian tui lum basin thuk lo takah ni khatah minute 5-10 chhung vawi hnih thut a ngai a. Hei hian perineum a tifai a, natna a tiziaawm a, hliam a dam thuai theih nan a pui bawk.
- Painkillers: Doctor-in a tih angin Paracetamol emaw Ibuprofen ang chi natna tidamtu damdawi i ei thei. Natna tidam thei spray pawh a awm bawk.
- Peri-bottle: Hei hi bottle te tak te a ni a, toilet i hman zawhah tui lum nen i khat thei a, perineum ah i spray thei bawk. Hei hi toilet paper hmanga phihfaiin hliam chu ti na zual lovin zawi zawiin tihfai theih a ni.
- Constipation venna: Bowel movement laiin straining hian natna a tizual thei. Chuvangin fiber tamna ei tur (thei, thlai) ei a, ni khatah tui glass 8 tal in a pawimawh hle.
- Kegel exercises: Heng exercise te hian nau neih hnua pelvic floor muscle te tichak turin a pui thin. Mahse, hliam i neih chuan hengte hi i tih hmain i doctor emaw physiotherapist emaw i zawt hmasa phawt tur a ni.
Infection a awm chuan antibiotics pek theih a ni. Abcess a awm chuan incision te tak te siamin pus chu a chhuak thei bawk. Hemorrhoid na tak emaw, nerve chhiatna emaw a awm chuan operation a ngai thei.
Nau neih laiin perineal tearing hi ven theih a ni em?
100% vela mittui tlak lohna tur ven theih ni lo mah se, a lo awm theihna tur tihziaawmna tur leh mittui tla nana tihziaawm theihna tur kawng a awm. Chu chu perineal massage a ni .
He massage hi engtikah nge tan tur?
Hei hi i naupai atanga kar 34 vel hnuah tan a tha ber.
Eng chen nge tih i mamawh?
Kar khatah ni 3-4 chhung, vawi khatah minute 5 vel tih hi a tawk.
Engtin nge he massage hi dik taka i tih theih ang?
Chutianga i tih hmain, i chawlh hahdam theihna tur hmun reh tak thlang rawh.
1. A hmasa berin sahbawn hmangin i kut uluk takin silfai ang che.
2. I hnungzang thlawpna tha tak nen i ke chu ben la, zau takin theh darh rawh.
3. I kut zungtang leh perineum area-ah natural oil (coconut oil, olive oil) emaw doctor-in a rawt water-based lubricant emaw hnawih la.
4. Zawi zawiin i kutpui chu inch khat emaw inch khat leh a chanve vel chu vagina chhungah dah la.
5. Tunah chuan i kut zungtang chu zawi zawiin vagina hnunglam bang, chu chu hnute lam hawiin hmet la. Tlemte a inzawm tih i hriat thlengin press rawh.
6. Hetiang dinhmun hi minute khat emaw minute hnih emaw vel vawn tlat ang che.
7. Tichuan, zawi zawiin i kutpui chu a sir lehlamah ‘U’ ang maiin i sawn ang. Gentle pull i nei tur a ni.
Hei hi a tir lamah chuan a buaithlak deuh mai thei a, mahse i hman thiam deuh deuh chuan a awlsam zawk ang. Hemi chungchang hi i doctor nen pawh inbiain thurawn tam zawk i la thei bawk.
Take-Home Thuchah a ni
- Perineum hi i serh leh i hnute inkar a awm, hmun pawimawh tak, sensitive tak a ni.
- Hei hian pelvic organs a thlawp a, zun, ek chhuah leh sexual function atan pawh a pawimawh hle.
- Hmeichhiain nau an pai laiin he hmun hi chhiatna (mittui) an tawk fo thin. Chûngte chu anmahniin emaw, stitches hmangin emaw an dam fo ṭhîn.
- Naupai kar tawp lamah perineal massage hian nau neih laiin chhiatna a ti tlem thei hle.
- I perineum area-ah natna, hring, hnim, lumps, thil dang dang i neih chuan ngaihthah suh la , doctor pan nghal rawh.
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